A technique of tympanoplasty with ''Sack-form skin graft with pedicle”, which the auther newly designed and performed, was introduced and the results of 52 cases performed with this method were presented. Success rate in hearing gain was 75%. Only 4 cases in this series showed occurrence of reperforation of the repaired tympanic membrane. Indication of this operation method will be in the case indicated for so-called Wullstein's type I tympanoplasty (myringoplasty). The tympanic mucosa should be preserved as possivle, in general. Under more restrictive indication, this method is very promising method in tympanoplasty.